Trouble falling asleep, staying asleep, or waking too early—despite adequate time in bed—along with daytime effects like fatigue, poor focus, or irritability. It can be short-term or chronic.

What is CBT-I and how does it work?

Cognitive Behavioral Therapy for Insomnia (CBT-I) is a structured, non-medication treatment that adjusts sleep schedules, builds strong sleep habits, reduces worry about sleep, and retrains the brain to associate bed with sleep. It’s considered first-line for chronic insomnia.

Can telehealth help with insomnia?

Yes. CBT-I and sleep coaching are highly effective via secure virtual visits.

What if I might have sleep apnea or another sleep disorder?

We screen for conditions like obstructive sleep apnea, restless legs, circadian rhythm disorders, and parasomnias. When indicated, we coordinate sleep studies and specialty referrals while continuing supportive care.

Insomnia and Sleep Disorders

Q: Do you prescribe sleep medication?

When appropriate, we consider short-term or targeted medications. We prioritize CBT-I and non-habit-forming strategies first, and we monitor any medications carefully.

What Is Insomnia & What Causes It?

Insomnia involves difficulty falling asleep, staying asleep, or waking up too early—plus daytime effects like fatigue or trouble concentrating. Causes can include stress, irregular schedules, anxiety/depression, pain, caffeine, certain medications, circadian rhythm disruption (shift work, jet lag), sleep apnea, and restless legs syndrome.

Common Sleep Problems & Signs

Difficulty falling asleep or frequent night awakenings
Early-morning awakenings with inability to return to sleep
Daytime sleepiness, brain fog, irritability, low motivation
Snoring, witnessed pauses in breathing, gasping (possible sleep apnea)
Uncomfortable leg sensations or urge to move legs at night (RLS)
Irregular sleep schedule or shift-work related sleepiness

Safety — If drowsy while driving or operating machinery, stop the activity and address sleep debt or seek medical care.

Contributors & Risk Factors

Stress, anxiety, depression, trauma history
Caffeine, nicotine, alcohol, late heavy meals
Blue-light exposure and variable bed/wake times
Medical issues (pain, reflux, thyroid), medications
Shift work, travel, or limited daylight exposure

We take a whole-person approach—addressing medical, behavioral, and environmental factors that affect sleep.

Evaluation: How We Assess Sleep

Detailed sleep history (bedtime/waketime, naps, awakenings, routines)
Review of caffeine, medications, substances, and medical conditions
Screening for apnea, restless legs, circadian rhythm disorders, parasomnias
Sleep diary or actigraphy when helpful
Coordination with primary care and sleep medicine for testing as indicated

Clarity about the root causes lets us design a plan that works—and lasts.

Sleep Treatment at Arizon Wellness

CBT-I (First-Line for Chronic Insomnia)

Structured program including stimulus control, sleep restriction/optimization, cognitive strategies, and relapse prevention. Typically effective within weeks and durable over time.

Circadian Rhythm Support

Light timing, consistent wake time, wind-down routines, strategic naps, and—when appropriate—melatonin timing. Helpful for shift work, jet lag, and delayed/advanced sleep phase.

Medication Management (When Needed)

When CBT-I alone isn’t enough, we discuss targeted, time-limited options and taper plans. We avoid dependency-forming patterns and review interactions carefully.

Sleep Apnea & RLS Pathways

We screen for obstructive sleep apnea and restless legs syndrome and coordinate sleep studies or specialty referrals while continuing behavioral care.

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When to Seek Help

Insomnia or sleepiness most days for 3+ months
Loud snoring, witnessed apneas, morning headaches, or uncontrolled blood pressure
Sleep problems worsening anxiety, depression, ADHD, or medical conditions
Shift-work fatigue or jet lag that won’t resolve

If there are immediate safety concerns (e.g., severe drowsiness while driving), address urgently or call 911.

Frequently Asked Questions

What is insomnia?

Difficulty falling or staying asleep—or waking too early—with daytime impairment, despite adequate opportunity to sleep.

What is CBT-I?

A structured, non-medication treatment that strengthens sleep drive, retrains habits, and reduces sleep anxiety. It’s recommended as first-line for chronic insomnia.

Do you prescribe sleep medications?

When appropriate, yes—usually for short-term or targeted use alongside CBT-I and sleep hygiene. We aim for the lowest effective dose and plan for tapering.

Can this be done via telehealth?

Yes. CBT-I and sleep coaching work well through secure virtual visits.

What if I might have sleep apnea?

We screen for apnea and coordinate testing with sleep medicine. We continue behavioral strategies alongside any device or treatment recommended.

Insomnia & Sleep Disorders Treatment in Columbus, OH

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